CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 39401 RVU and Medicare Payment (2026)
Mediastinoscpy w/medstnl bx — 5.3 work RVU, about $292.59 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.3
- PE RVU (non-facility)
- 2.14
- PE RVU (facility)
- 2.14
- MP RVU
- 1.32
- Office payment
- $292.59
- Facility payment
- $292.59
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 39401 in a non-facility setting with national GPCI: (5.3 + 2.14 + 1.32) × $33.4009 ≈ $292.59. The same code in a facility setting pays about $292.59 because facility PE RVU (2.14) replaces office PE RVU.
What changes by locality
GPCI moves 39401 non-facility payment from $259.08 to $365.95 across CMS localities — from Wisconsin to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 39401?
5.3. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 39401 in 2026?
About $292.59 non-facility ($292.59 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (5.3) and malpractice RVU stay fixed; only practice expense changes (2.14 office vs 2.14 facility). That is the entire office-vs-facility payment gap.